Most Relevant Information
Provider Data
NPI Number: | 1003431941 |
Provider Name: | ANNA KATE MCCORMICK OTR/L |
Entity Type: | Individual |
Taxonomy Code: | 225X00000X |
Specialty: | Occupational Therapist |
License Number: |
Most Important Dates
Enumeration Date: | 06/16/2020 |
Last Updated: | 07/16/2020 |
Provider Practice Location
545 OLD NORCROSS RD STE 100
LAWRENCEVILLE
GA
300463390
Practice Location Phone/Fax
Phone: | 6783772833 |
Fax: |
Provider Mailing Location
411 WATERMAN ST SE
MARIETTA
GA
300602019
Provider Mailing Phone/Fax
Phone: | 6785079566 |
Fax: |